Surgery of retrofoveal in inflammatory diseases: indications and results

Purpose: Vitrectomy was performed in 12 cases of inflammatory pathology com plicated with subfoveal neovascular membranes. Methods : We have 3 Pseudohistoplasmosis. 6 Toxoplasmosis, 2 mutlifocal cho roiditis and 1 case of Vogt-Koyanagi-Harada desease. Mean age was 26 years (7-50 years) and mean duration was 3,5 months (1-6 months). Results: The patients were operated on between May 1996 and November 1997; the mean follow-up was 18 months (between 24 and 6 months). The mean postop erative visual acuity was 20/30 (mean preoperative visual acuity 20/160). 7 eyes could read "Parinaud 2" and kept a stable central fixation at 6 month s with threshold of macular and perimacular sensibility at SLO whitin norma l limits four 6 macula. The complications are limited to 2 cases of recidiv e after 6-12 months. Discussion : The results of neovascular surgery in inflammatory pathology ( gain of mean visual acuity of 0,44) were not the same for age-related macul opathy and myopie principally in relation with a better epithetial and chor oidal state related with the age of 26. For 2 patients the failure of centr al fixation after surgery, was due to involvment of fovea by choroiditis it self.